Individual provider Active NPI

Genesis Parra-Lugo

  • Podiatrist
  • West Reading, PA
National Provider Identifier
1699392753
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC007093 Issued in PA
Practice address
420 S 5TH Ave
West Reading, PA 19611-2143
Phone
(484) 628-8000
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC007093 PA Primary

Addresses

Primary practice location

420 S 5TH Ave
West Reading, PA 19611-2143

Mailing address

14418 W Meeker Blvd # B-205
Sun City West, AZ 85375-5283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724002288 AZ Practitioner - Podiatry 5496115321 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10615 W Thunderbird Blvd
C150
Sun City, AZ 85351-3033
Phone (623) 544-9090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue37
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007093PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Wellness Az LLC CurrentSince Apr 1, 2025 Accepting new patients
Michael F Esber DPM PC CurrentSince Aug 1, 2023 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Jul 1, 2023 Accepting new patients
Progressive Pain Management Inc CurrentSince Aug 1, 2023 Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince Aug 6, 2019 Accepting new patients
Advanced Minimally Invasive Surgical Podiatrist CurrentSince Jul 1, 2023 Accepting new patients
Hope Diabetes Center, LLC CurrentSince Sep 1, 2023 Accepting new patients
Gregg Krahn DPM PC Podiatrist Past Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Casa Grande ASC, LLC Past Accepting new patients
Floyd I Miller DPM PC Podiatrist Past Accepting new patients

Locations

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

1455 W Chandler Blvd
Ste B11
Chandler, AZ 85224
Phone (480) 917-9208

16390 N 59th Ave
Glendale, AZ 85306

3130 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 497-5933

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

1134 E University Dr
Ste 111
Mesa, AZ 85203
Phone (480) 398-1220

1616 E Indian School Rd
Ste 135
Phoenix, AZ 85016
Phone (480) 900-9355

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

3120 Willow Creek Rd
Unit 100
Prescott, AZ 86301
Phone (480) 750-8130

6908 E Thomas Rd
Scottsdale, AZ 85251
Phone (702) 929-4299

2629 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (623) 277-5552

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

14418 W Meeker Blvd
Ste B205
Sun City West, AZ 85375
Phone (623) 546-4960

14418 W Meeker Blvd
#B205
Sun City West, AZ 85375
Phone (480) 802-9977

11323 W Bell Rd
Surprise, AZ 85378

17061 N Avenue of the Arts
Ste 100
Surprise, AZ 85378
Phone (623) 277-5552

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1699392753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD # B-205",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S 5TH AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196112143",
            "telephone_number": "484-628-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA-LUGO",
        "first_name": "GENESIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.